HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now
Intestinal obstruction secondary to active inflammation is the most common complication. Patients with colonic involvement are at risk for developing colon cancer. Subsets of patients develop fistulas that are usually managed by medication or parental nutrition, but may require surgery. Nutritional and vitamin deficiencies are common, resulting from inadequate diet, intestinal loss of protein, or malabsorption. Systemic complications may include arthritis, skin lesions, anemia, liver and biliary disease, inflammation of the eyes or mouth, and bleeding disorders. Some of these problems resolve during treatment of the disease, but some may be treated separately. Consultations with dietitians, wound care specialists, or pain management clinicians and physiological support clinicians are not uncommon.
Sakeenah is 14 years old African american girl, she comes to the University of Michigan Pediatric Gastroenterology clinic on 5/22/2018 complaining of abdominal pain. She is accompanied mom and dad today and she provides the interval medical history, She states that the pain started month ago, epigastric, and occasionally radiate to right side, described as squeezing or burning pain. She states that the pain is on/off, in scale of 7-8/10, occur more in the morning. The pain lasts few hours several time a day. She feels that "food sits in my stomach and doesn't digest." Sakeenah states that pain is worse when she eating a grassy food, she stop eating it for a while and the pain seems
Thus allowing me to form a differential diagnosis and rule out certain causes, such as; constipation, and indigestion. Subsequently, the physical examination enabled me to confirm a diagnosis of acute abdomen. As the patient was not experiencing any worrying (red flag) symptoms associated with abdominal emergencies, such as; appendicitis or pancreatitis. However, I did forget certain aspects of the physical examination and had to be prompted by the MO. Although with more practice such incidence would be reduced.
There are many diseases and illnesses in this day and age that can cause harm. One of these illnesses is intussusception. This particular illness is found in children and can be life-threatening if it isn't found in the early stages. Intussusception occurs when a segment of bowel is pulled into itself by the means of peristalsis. This can cause a blockage in the intestinal tract, and cause severe pain to the child. An easy way to find this illness is by diagnostic tools. To understand how intussusception takes hold over the body, you have to start with the cause of the illness. (Weerakkody & Amini, 2015).
Intestinal pseudo obstruction is a rare and incurable disease that is a blockage or obstruction of the intestines. There are two forms of intestinal pseudo obstruction, acute intestinal pseudo obstruction and chronic intestinal pseudo obstruction. Acute intestinal pseudo obstruction is a less aggressive degree of intestinal pseudo obstruction with milder symptoms that come and go. Acute intestinal pseudo obstruction is also easier to manage with treatment. Chronic intestinal pseudo obstruction is a very aggressive form of intestinal pseudo obstruction. Chronic intestinal pseudo obstruction is more difficult to manage even while undergoing treatment(s) and surgery(s). As a result, intestinal pseudo obstruction is a highly complicated disease
CT colonography is a frequent examination performed at my hospital site. It is important for radiographers to understand the technique associated with this procedure. It involves lots of variables that must be understood in order to manipulate them and offer image quality. Radiographers (and radiologists) will be able to look for signs in the bowel which suggests the presence of polyps. Furthermore, the difference of opinions regarding the use barium enema or CT colonography for this conditions will be explained in the proposed research. The work will trace the evolution of large bowel and discuss the new improvement made to equipment to image this pathology. The research will highlight the expansion of CT colonography examination and demonstrates
This essay will focus on Crohn’s disease and pathological changes that may occur in the small intestine as a result of the inflammatory process and discuss the scientific reasons for the possible treatments relating these to pathological processes.
Patients may also present in a delayed manner with anastomotic stricture. Signs stricture include abdominal distension, pain, and constipation. Patients with stricture should undergo colonoscopy for dilation and to assess for ischemia and evidence of malignant stricture. If dilations of the anastomosis are not effective, surgical revision of the anastomosis is often needed.
A small bowel obstruction means that something is blocking the small bowel. The small bowel is also called the small intestine. It is the long tube that connects the stomach to the colon. An obstruction will stop food and fluids from passing through the small bowel. Treatment depends on what is causing the problem and how bad the problem is.
This assignment will focus on a patient who was admitted to hospital and diagnosed with constipation. Consent was obtained from the patient to use their medical condition for the purpose of this assignment. To respect the patient’s right to confidentiality as governed by The Nursing and Midwifery Council Code of Practice (2015), personal details will not be discussed and for anonymity to be maintained they shall be referred to as Delia. All care given to Delia that shall be analysed, was witnessed through observation to prevent bias. Delia is a 74-year-old lady, and was admitted to hospital for investigation and monitoring due to abdominal pain and reduced bowel movements.
Added to that, poor bowel habits, the irritable bowel syndrome, hemmoroids, pregnancy, medications, and laxative abuse. A person can initiate a cycle of constipation by disregard the urge to have a bowel elimination . Some people do this to avoid using public toilets, others because they are too busy or did not have enough time. After A period of time, a person may stop feeling the urge. So, the people should prevent the causes of altered intestinal elimination to avoid the constipation and its
One cause of acute appendicitis is an obstruction in the appendix. The obstruction can be either partial or complete. Complete obstruction requires emergency surgery. Partial obstruction is therefore due to a build-up of faecal matter. It is a result of enlarged lymphoid follicles, worms, trauma or tumours (Healthline, 2016).
An obstruction could stem from within the cecum, colon, either the ascending, transverse, descending, sigmoid part of the colon, or rectum within the large intestine. Like a small intestinal obstruction, the blockage may be partial or complete and should be treated as a medical emergency. Obstruction of the mechanical nature, are the most common causes in the large intestine.